Bryant Jane, Hlavaty Kelan A, Zhang Xiaomin, Yap Woon-Teck, Zhang Lei, Shea Lonnie D, Luo Xunrong
Division of Nephrology and Hypertension, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
The Institute for BioNanotechnology in Medicine (IBNAM), Northwestern University, Chicago, IL 60611, USA; Department of Biomedical Engineering, Northwestern University, 2145 Sheridan Rd/E310, Evanston, IL 60208, USA.
Biomaterials. 2014 Oct;35(31):8887-8894. doi: 10.1016/j.biomaterials.2014.06.044. Epub 2014 Jul 25.
Human islet cell transplantation is a promising treatment for type 1 diabetes; however, long-term donor-specific tolerance to islet allografts remains a clinically unmet goal. We have previously shown that recipient infusions of apoptotic donor splenocytes chemically treated with 1-ethyl-3-(3'-dimethylaminopropyl)-carbodiimide (donor ECDI-SP) can mediate long-term acceptance of full major histocompatibility complex (MHC)-mismatched murine islet allografts without the use of immunosuppression. In this report, we investigated the use of poly(lactide-co-glycolide) (PLG) particles in lieu of donor ECDI-SP as a synthetic, cell-free carrier for delivery of donor antigens for the induction of transplant tolerance in full MHC-mismatched murine allogeneic islet transplantation. Infusions of donor antigen-coupled PLG particles (PLG-dAg) mediated tolerance in ∼20% of recipient mice, and the distribution of cellular uptake of PLG-dAg within the spleen was similar to that of donor ECDI-SP. PLG-dAg mediated the contraction of indirectly activated T cells but did not modulate the direct pathway of allorecognition. Combination of PLG-dAg with a short course of low dose immunosuppressant rapamycin at the time of transplant significantly improved the tolerance efficacy to ∼60%. Furthermore, altering the timing of PLG-dAg administration to a schedule that is more feasible for clinical transplantation resulted in equal tolerance efficacy. Thus, the combination therapy of PLG-dAg infusions with peritransplant rapamycin represents a clinically attractive, biomaterials-based and cell-free method for inducing long-term donor-specific tolerance for allogeneic cell transplantation, such as for allogeneic islet transplantation.
人胰岛细胞移植是治疗1型糖尿病的一种有前景的方法;然而,对胰岛同种异体移植物的长期供体特异性耐受仍是临床上尚未实现的目标。我们之前已经表明,受体输注经1-乙基-3-(3'-二甲氨基丙基)-碳二亚胺化学处理的凋亡供体脾细胞(供体ECDI-SP)可以介导完全主要组织相容性复合体(MHC)不匹配的小鼠胰岛同种异体移植物的长期接受,而无需使用免疫抑制。在本报告中,我们研究了使用聚(丙交酯-共-乙交酯)(PLG)颗粒代替供体ECDI-SP作为一种合成的无细胞载体,用于递送供体抗原,以在完全MHC不匹配的小鼠同种异体胰岛移植中诱导移植耐受。输注供体抗原偶联的PLG颗粒(PLG-dAg)可介导约20%的受体小鼠产生耐受,并且PLG-dAg在脾内的细胞摄取分布与供体ECDI-SP相似。PLG-dAg介导间接激活的T细胞收缩,但不调节同种异体识别的直接途径。在移植时将PLG-dAg与短疗程低剂量免疫抑制剂雷帕霉素联合使用可显著提高耐受效果至约60%。此外,将PLG-dAg给药时间改为更适合临床移植的方案可产生相同的耐受效果。因此,PLG-dAg输注与移植时雷帕霉素的联合治疗代表了一种临床上有吸引力的、基于生物材料的无细胞方法,用于诱导同种异体细胞移植(如同种异体胰岛移植)的长期供体特异性耐受。